FLORIDA HEART CPR*
ACLS Study Guide
This quiz will help you prepare for your ACLS course. Use your ACLS textbook to look
up the answers. This exercise is highly recommended to do well on your written exam.
1. High quality ______ is paramount to a successful outcome in cardiac arrest. It
should not be stopped for more than ___ seconds for any intervention.
2. In what ACLS rhythms would you use Atropine?
Dose?
3. In what ACLS rhythms does a patient get epinephrine?
4. What is your first action for a patient in witnessed cardiac arrest after checking
the patient and calling a code?
5. What two things should you consider for a patient in stable SVT?
6. When should we begin pacing in a conscious patient?
7. At what point would you give a chest pain patient morphine?
8. Magnesium Sulfate is used in this rhythm:
9. What is the action of Dopamine?
What is your initial drip rate?
10. Vasopressin is a hormone used in cardiac arrest. What is the dose?
11. When is Amiodarone used IV push and in what dose?
12. What is the dose for an Amiodarone bolus post arrest?
13. You suspect your patient has been “down” for an extended period. What drug
can you consider?
14. Nitroglycerin must be given with a blood pressure above what?
15. SVT is a heart rate above:
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Revised 1/14 Florida Heart ACLS Practice Quiz
16. What action should we consider for a patient with a heart rate of 203, and
B/P of 78/42?
17. How much epinephrine can be pushed in a code for v-fib, PEA, or asystole?
18. What is the treatment for a nearly unconscious patient in V-Tach with a pulse?
19. After your first defibrillation of a patient in V-fib what is your next action?
20. What are the benefits of giving morphine to a chest pain patient?
21. Your patient has a heart rate of 29, but he feels fine. What are your actions?
22. Your patient is in a narrow complex tachycardia with a rate of 178. He has no
symptoms besides feeling a little anxious. What drug is appropriate for this
rapid heartbeat?
Dose?
23. What drug is effective for slowing down confirmed rapid A-Fib?
24. Your patient suddenly shows V-tach on the monitor. He is pulseless. What
should you do?
25. The patient is now in V-fib. (refer to previous question) What are your next
actions?
26. The first drug to give a chest pain patient is:
27. What is the preferred method of administering drugs in a cardiac arrest?
28. After the patient has had three doses of epi in a non-shockable, pulseless
rhythm, plus considering the H’s and T’s, what should you consider?
29. Even if you are not tired, you should switch CPR rescuers every ____ minutes
30. When defibrillating a patient, what safety precaution should we consider?
31. Should you consider continuing CPR when the defibrillator is charging?
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Revised 1/14 Florida Heart ACLS Practice Quiz
32. If your PETCO2 is less than _____mm/hg, you will not achieve ROSC. If your
PETCO2 reads less than ______mm/hg, you still need to increase the
effectiveness of your CPR!
33. What is the purpose of a rapid response team?
34. In any tachycardia, what must you first determine?
35. Which method would facilitate more rapid defibrillation during a code: hands
free or hands on paddle method?
36. What is the most important thing to do for a patient who shows signs of a
stroke?
37. Are there any situations when you would withhold resuscitation efforts?
38. What two drugs could you consider to terminate a wide complex tachycardia?
39. When a chest pain patient is seen for the first time, what must be
accomplished within the first 10 minutes?
40. What is the simplest intervention to accomplish when a patient has a pulse but
is apneic?
41. An intubated patient should receive ventilations at a rate of ___ to ___ breaths
a minute.
42. Suction is done for no more than ___ seconds, and only while withdrawing
the yankauer.
43. One of the first interventions for a patient with chest pain is to administer
____________ and obtain an _________ within ten minutes.
44. Upon ROSC, what is the target range for PETCO2 while you are ventilating a
patient?
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Revised 1/14 Florida Heart ACLS Practice Quiz
45. Therapeutic hypothermia is the intervention that shows the most benefit for
post resuscitation patients, but should only be applied if the patient is
________________.
46. Commercial devices that hold an ET tube in place are placed around the neck
of the patient, which can ________________ venous blood return from the
brain.
47. What is the recommended amount of fluid to administer to a patient when they
achieve ROSC and are hypovolemic?
48. What systolic blood pressure are we trying to achieve upon ROSC?
49. During a resuscitation attempt, you achieve ROSC (pulse). What is your next
action?
50. How can you minimize interruptions in chest compressions during a code?
51. Upon return of spontaneous circulation you should: (circle all that apply)
Notify family
12 Lead EKG
Call pts primary MD
B/P
rectal aspirin
Intubate
Optimize ventilation and oxygenation
Labs
Capnography
Sa02
Therapeutic hypothermia
52. Name the H’s and T’s to consider during PEA or asystole (differential
diagnosis)
H’s
T’s
53. When managing a tachycardia, whether wide or narrow, a good rule of thumb
is that stable patients should receive _________________________, while
unstable patients should receive _________________ __________________.
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Revised 1/14 Florida Heart ACLS Practice Quiz
54. A stable narrow complex tachycardia would receive which intervention FIRST?
1. Adenocard
2. 12 Lead EKG
55. If an AED does not promptly analyze the heart rhythm you should:
56. In a pt with sudden and persistent V-fib, You begin CPR and defibrillate as
soon as possible. Fill in the following:
CPR (always for 2 minutes)
Defibrillate
CPR
Drug: ___________ (dose)
CPR
Defibrillate
CPR
Drug:____________ (dose)
CPR
Defibrillate
CPR
Drug: ____________ (dose)
CPR
Defibrillate
CPR
Drug: ____________ (dose)
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Revised 1/14 Florida Heart ACLS Practice Quiz